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WALGREEN CO
CH042450 WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Maude L. Whatley Health Center
Type
HRSA-Funded Health Center
340B ID
CH042450
Entity Address
2731 MARTIN L KING JR. BLVD.
TUSCALOOSA, AL 35401
Grant Number
H80CS00094
Participating Start Date
1/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11450
879 HIGHWAY 78
SUMITON, AL 35148
Pharmacy Comments
Contract Details
Approval Date
1/13/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah H. Tucker, CEO
(205) 349-3250 Ext: 6135
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2015
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